Individual
DANIELA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7373 FRANCE AVE S STE 208, EDINA, MN 55435-4598
(952) 835-1311
(952) 428-0095
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40460
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084518300
—
MN
Enumeration date
03/29/2006
Last updated
07/05/2024
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